The Impact Research and Development Organization (IRDO) study developed strategies to increase uptake of voluntary medical male circumcision (VMMC) in men aged 25 to 39 years based on feedback provided by uncircumcised men in this age group and information provided by their wives and partners. One of the major barriers identified in preliminary research is loss of income during the recovery period, which remains an issue even when cultural and personal concerns are addressed through counseling. Alleviating this barrier may require reimbursements to men; however, compensation brings its own controversies. RTI International supported this study by performing quality assurance visits to verify regulatory adherence and protocol fidelity and to validate data integrity for the study. Results from the study have provided important data on the effectiveness of increasing VMMC rates through counseling and improved environments for provision of services to older men without direct monetary compensation.